Program Design. 4.1. CONTRACTOR shall maintain programmatic services as described herein. The CONTRACTOR shall provide comprehensive specialized mental health and rehabilitation services, as outlined in section 2 above and in accordance with the DHCS state-county MHP contract. 4.2. Services shall be coordinated with the client’s primary health care provider so that specialty mental health services support a “whole health” approach. The CONTRACTOR shall abide by all of the requirements set forth by the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program, use the State-approved EPSDT manual as a guide for all service and documentation provision, and adhere to all COUNTY guidelines, policies and procedures. 4.3. The CONTRACTOR shall work with each child/youth’s parent, guardian or caregiver and his/her primary care physician on medical issues and issues surrounding medications. If a child/youth has a higher-level psychiatric need, CONTRACTOR shall provide consultation with a psychiatrist, evaluation by a psychiatrist, and/or medication and support services from a psychiatrist, whichever are deemed clinically necessary. 4.4. The CONTRACTOR shall involve the child/parents/caregivers/guardians in all treatment planning and decision-making regarding the services as documented in the child’s Client Services Plan which shall be updated at least annually by the CONTRACTOR. 4.5. The CONTRACTOR shall provide clinical supervision to all treatment staff, licensed or license eligible, in accordance with approved policies and procedures. Those staff seeking licensure shall receive clinical supervision in accordance with the appropriate State Licensure Board (i.e., Board of Behavioral Sciences, Board of Psychology, Board of Nursing, and Medical Board). All treatment staff shall be required to keep their licenses and/or registrations with said Boards current at all times during the contract period.
Appears in 2 contracts
Samples: Contract for Services, Specialty Mental Health and TBS Services
Program Design. 4.1. CONTRACTOR shall maintain programmatic services as described herein. The CONTRACTOR shall provide comprehensive specialized mental health and rehabilitation services, as outlined in section 2 above and in accordance with the DHCS state-county MHP contract.
4.2. Services shall be coordinated with the client’s primary health care provider so that specialty mental health services support a “whole health” approach. The CONTRACTOR shall abide by all of the requirements set forth by the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program, use the State-approved EPSDT manual as a guide for all service and documentation provision, and adhere to all COUNTY guidelines, policies and procedures.
4.3. The CONTRACTOR shall work with each child/youth’s parent, guardian or caregiver and his/her primary care physician on medical issues and issues surrounding medications. If a child/youth has a higher-level psychiatric need, CONTRACTOR shall provide consultation with a psychiatrist, evaluation by a psychiatrist, and/or medication and support services from a psychiatrist, whichever are deemed clinically necessary.
4.4. The CONTRACTOR shall involve the child/parents/caregivers/guardians in all treatment planning and decision-making regarding the services as documented in the child’s Client Services Plan which shall be updated at least annually by the CONTRACTOR.
4.5. The CONTRACTOR shall provide clinical supervision to all treatment staff, licensed or license eligible, in accordance with approved policies and procedures. Those staff seeking licensure shall receive clinical supervision in accordance with the appropriate State Licensure Board (i.e., Board of Behavioral Sciences, Board of Psychology, Board of Nursing, and Medical Board). All treatment staff shall be required to keep their licenses and/or registrations with said Boards current at all times during the contract period.
4.6. CONTRACTOR services are specialty mental health services and shall be provided to children and families in accordance with the most current Client Services Plan and in with the agreements made at the Family Team Meeting (FTM). CONTRACTOR shall provide services to the youth as designated by the treatment plan from FSP/ Wraparound providers. The treatment goals shall be created at the FTM and shall include the CONTRACTOR’s services as part of the service plan for the service plan for the individual enrolled in FSP/ Wraparound.
4.7. CONTRACTOR personnel shall work closely with the multi-disciplinary family team, and shall function as a family team member to help identify problematic behaviors and their triggers, develop individual goals and strategies to meet the goals, assist the child and family to implement and maintain the strategies, and to review the goals and their impact on child and family functioning.
4.8. CONTRACTOR shall render services as delineated in the Client Services Plan developed by COUNTY for the individual child. The plan will specify the type of services required and the number of hours per day they will be needed. The plan will also specify the duration of services. These services shall include:
4.8.1. Behavior management strategies developed collaboratively with parents, care providers, and/or school staff.
4.8.2. Ensure appropriate implementation of recommended behavior management strategies. Programming for generalization of new skills.
4.8.3. Programming for maintenance of treatment gains.
4.8.4. Outdoor based individual rehabilitation services consistent with the defined treatment plan to provide symptom resolution and adaptive skills development to address issues of loss and grief; trauma (including prior abuse); identity formation; mastery and control and intimacy using a variety of modalities.
4.8.5. Youth supportive services shall include one-on-one mentoring, rehabilitation, and working with youth to learn skills and develop capacities to meet behavioral challenges with confidence. Mentoring includes a comprehensive approach to wellness by connecting youth with nature, exercise, good nutrition, peak experiences, challenges and coping strategies that align with the treatment goals developed in the FTM.
4.9. CONTRACTOR shall provide case management services for caregivers and others that may be involved in the treatment of the client and on behalf of the beneficiary.
4.10. CONTRACTOR shall seek to reduce stigma associated with either being diagnosed with a mental illness or seeking mental health services with clients being served within this contract.
4.11. CONTRACTOR will provide bi-lingual and bi-cultural services with an emphasis on Latinx culturally sensitive services.
4.12. CONTRACTOR shall perform pre and post testing using the Youth Outcome Questionnaire Self-Report (Y-OQ-SR) to measure progress and outcomes. The reduction of the following negative outcomes that may result from untreated mental illness include: suicide, incarcerations, school failure or dropout, unemployment, prolonged suffering, violent outbursts against self and/or others, homelessness, and removal of children from their homes. Target outcomes in the youth served include improvements in at least one or more of the following areas: stability in living situation, improvement in school attendance, reduction in substance use/abuse, increase in positive social connections, and reduction in involvement with LE agencies.
Appears in 1 contract
Samples: Contract for Services
Program Design. 4.1. CONTRACTOR shall maintain programmatic services as described herein. The CONTRACTOR shall provide comprehensive specialized mental health and rehabilitation services, as outlined in section 2 above and in accordance with the DHCS state-county MHP contract.
4.2. Services shall be coordinated with the client’s primary health care provider so that specialty mental health services support a “whole health” approach. The CONTRACTOR shall abide by all of the requirements set forth by the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program, use the State-approved EPSDT manual as a guide for all service and documentation provision, and adhere to all COUNTY guidelines, policies and procedures.
4.3. The CONTRACTOR shall work with each child/youth’s parent, guardian or caregiver and his/her primary care physician on medical issues and issues surrounding medications. If a child/youth has a higher-level psychiatric need, CONTRACTOR shall provide consultation with a psychiatrist, evaluation by a psychiatrist, and/or medication and support services from a psychiatrist, whichever are deemed clinically necessary.
4.4. The CONTRACTOR shall involve the child/parents/caregivers/guardians in all treatment planning and decision-making regarding the services as documented in the child’s Client Services Plan which shall be updated at least annually by the CONTRACTOR.
4.5. The CONTRACTOR shall provide clinical supervision to all treatment staff, licensed or license license- eligible, in accordance with approved County policies and procedures. Those staff seeking licensure shall receive clinical supervision in accordance with the appropriate State Licensure Board (i.e., i.e. Board of Behavioral Sciences, Board of Psychology, Board of Nursing, and Medical Board). All treatment staff shall be required to keep current with their licenses and/or registrations with said Boards current at all times during with said Boards.
4.6. The CONTRACTOR shall provide specialty mental health services that are inclusive and responsive to individuals with co-occurring substance use disorders.
4.7. Specialty mental health services will occur in community settings to include clients’ homes, community locations, schools, emergency rooms, etc.
4.8. Electronic Health Records (EHR): The CONTRACTOR shall be required to use an EHR with system functionality that is relevant to the contract periodscope of work described in this contract, as requested by the County. This may include the following System functionality: clinical documentation, use of the Billing System, Doctors Homepage, E-Prescribing, Medication Notes, and other Electronic Health Record data collection necessary for the County to meet billing and quality assurance goals. County will train CONTRACTOR on all pertinent elements in order for CONTRACTOR to comply with this requirement. If the CONTRACTOR has good cause not to use the County’s system, the CONTRACTOR shall maintain a process that allows for electronic data sharing of health information in compliance with state care coordination regulations and federal Interoperability regulations (CMS-9115-F; ONC CURES Act Final Rule). CONTRACTOR shall make available all data elements listed on the United States Core Data for Interoperability (USCDI) data elements, to authorized requesting parties, including the COUNTY, within regulatory timeframes and formats.
4.9. Bi-Lingual Services: CONTRACTOR agrees to provide Bi-Lingual mental health services to adults who meet eligibility criteria.
4.10. CONTRACTOR shall conduct monthly comparisons of all CONTRACTOR employees billing Medi-Cal to the following federal databases for positive name matches: Office of the Inspector General’s (OIG) List of Excluded Individual/Entities (LEIE) (xxx.xxx.xxx.xxx) and General Services Administration (GSA) Excluded Parties List System (EPLS) (xxx.xxxx.xxx/) or System for Award Management (XXX) Excluded Parties List System (EPLS) (xxx.xxx.gov/portal/public/XXX). These monthly checks shall be compiled into a quarterly report and sent to the County Contract Administrator. Individuals listed in these databases as ineligible to participate in Medicaid or Medicare may not provide services to County. All staff will be credentialed, including licensure verification through each individual’s professional board or governing body. CONTRACTOR shall provide routine monthly verification to ensure professional staff remain in good standing and are able to provide services as applicable by law.
Appears in 1 contract
Samples: Contract for Services
Program Design. 4.1. CONTRACTOR shall maintain programmatic services as described herein. The CONTRACTOR shall provide comprehensive specialized mental health and rehabilitation services, as outlined in section 2 above and in accordance with the DHCS state-county MHP contract.
4.2. Services shall be coordinated with the client’s primary health care provider so that specialty mental health services support a “whole health” approach. The CONTRACTOR shall abide by all of the requirements set forth by the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program, use the State-approved EPSDT manual as a guide for all service and documentation provision, and adhere to all COUNTY guidelines, policies and procedures.
4.3. The CONTRACTOR shall work with each child/youth’s parent, guardian or caregiver and his/her primary care physician on medical issues and issues surrounding medications. If a child/youth has a higher-level psychiatric need, CONTRACTOR shall provide consultation with a psychiatrist, evaluation by a psychiatrist, and/or medication and support services from a psychiatrist, whichever are deemed clinically necessary.
4.4. The CONTRACTOR shall involve the child/parents/caregivers/guardians in all treatment planning and decision-making regarding the services as documented in the child’s Client Services Plan which shall be updated at least annually by the CONTRACTOR.
4.5. The CONTRACTOR shall provide clinical supervision to all treatment staff, licensed or license eligible, in accordance with approved policies and procedures. Those staff seeking licensure shall receive clinical supervision in accordance with the appropriate State Licensure Board (i.e., Board of Behavioral Sciences, Board of Psychology, Board of Nursing, and Medical Board). All treatment staff shall be required to keep their licenses and/or registrations with said Boards current at all times during the contract period.
4.6. The CONTRACTOR shall provide specialty mental health services that are inclusive and responsive to individuals with co-occurring substance use disorders.
4.7. Specialty mental health services will occur in community settings to include clients’ homes, community locations, schools, emergency rooms, etc.
4.8. Electronic Health Records (EHR): The CONTRACTOR shall be required to use an EHR with system functionality that is relevant to the scope of work described in this contract, as requested ty the County. This may include the following System functionality: clinical documentation, use of the Billing System, Doctors Homepage, E-Prescribing, Medication Notes, and other Electronic Health Record data collection necessary for the County to meet billing and quality assurance goals. County will train CONTRACTOR on all pertinent elements in order for CONTRACTOR to comply with this requirement. If the CONTRACTOR has good cause not to use the County’s system, the CONTRACTOR shall maintain a process that allows for electronic data sharing of health information in compliance with state care coordination regulations and federal interoperability regulations (CMS-9115-F; ONC CURES Act Final Rule). CONTRACTOR shall make available all data elements listed on the United States Core Data for Interoperability (USCDI) data elements, to authorized requesting parties, including the COUNTY, within regulatory timeframes and formats.
4.9. Bi-Lingual Services: CONTRACTOR agrees to provide Bi-Lingual mental health services to adults who meet eligibility criteria.
4.10. CONTRACTOR shall conduct monthly comparisons of all CONTRACTOR employees billing Medi-Cal to the following federal databases for positive name matches: Office of the Inspector General’s (OIG) List of Excluded Individual/Entities (LEIE) (xxx.xxx.xxx.xxx) and General Services Administration (GSA) Excluded Parties List System (EPLS) (xxx.xxxx.xxx/) or System for Award Management (XXX) Excluded Parties List System (EPLS) (xxx.xxx.gov/portal/public/XXX). These monthly checks shall be compiled into a quarterly report and sent to the County Contract Administrator. Individuals listed in these databases as ineligible to participate in the Medicaid or Medicare may not provide services to County. All staff will be credentialed, including licensure verification through each individual’s professional board or governing body. CONTRACTOR shall provide routine monthly verification to ensure professional staff remain in good standing and are able to provide services as applicable by law.
Appears in 1 contract
Samples: Contract for Services
Program Design. 4.15.1. CONTRACTOR shall maintain programmatic services as described herein. The CONTRACTOR shall provide comprehensive specialized mental health and rehabilitation services, as outlined in section 2 above and in accordance with the DHCS state-county MHP contract.
4.25.2. Services shall be coordinated with the client’s primary health care provider so that specialty mental health services support a “whole health” approach. The CONTRACTOR shall abide by all of the requirements set forth by the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program, use the State-approved EPSDT manual as a guide for all service and documentation provision, and adhere to all COUNTY guidelines, policies and procedures.
4.35.3. The CONTRACTOR shall work with each child/youth’s parent, guardian or caregiver and his/her primary care physician on medical issues and issues surrounding medications. If a child/youth has a higher-level psychiatric need, CONTRACTOR shall provide consultation with a psychiatrist, evaluation by a psychiatrist, and/or medication and support services from a psychiatrist, whichever are deemed clinically necessary.
4.4. The CONTRACTOR shall involve the child/parents/caregivers/guardians in all treatment planning and decision-making regarding the services as documented in the child’s Client Services Plan Plan, when required by state regulation, which shall be updated at least annually by the CONTRACTOR.
4.55.4. The CONTRACTOR shall provide clinical supervision to all treatment staff, licensed or license eligible, in accordance with approved policies and procedures. Those staff seeking licensure shall receive clinical supervision in accordance with the appropriate State Licensure Board (i.e., Board of Behavioral Sciences, Board of Psychology, Board of Nursing, and Medical Board). All treatment staff shall be required to keep their licenses and/or registrations with said Boards current at all times during the contract period.
Appears in 1 contract
Samples: Contract for Services
